Individual
DANIELLE LEE BOUCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
795 MIDDLE ST, FALL RIVER, MA 02721-1733
(508) 674-5600
Mailing address
20A COLT CIRCLE, TAUNTON, MA 02780
(774) 281-3285
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2258670
MA
Other
Enumeration date
08/16/2017
Last updated
11/13/2019
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